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North Carolina rates for HCPCS 42815

Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.94 / $8,977.00 / $11,986.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,725.95 / $2,998.55 / $5,088.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$608.17 / $3,390.19 / $5,654.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.65 / $718.92 / $1,046.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,461.00 / $2,050.00 / $15,712.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,993.70 / $16,547.20 / $26,542.00